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Individual

MRS. MILDRED ELINORE SCHLIMGEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPT

Contact information

Practice address
1954 LOMA DR, CAMARILLO, CA 93010-3719
(310) 867-0225
Mailing address
241 MARKET STREET, PORT HUENEME, CA 93041
(805) 283-4737

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
PT27981
CA
324500000X
Substance Abuse Rehabilitation Facility
Primary
560036AP
CA
324500000X
Substance Abuse Rehabilitation Facility
560036BP
CA

Other

Enumeration date
06/17/2007
Last updated
05/20/2017
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